Provider First Line Business Practice Location Address:
95 HIGHLAND AVE
Provider Second Line Business Practice Location Address:
STE 130
Provider Business Practice Location Address City Name:
BETHLEHEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18017-9483
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-252-8281
Provider Business Practice Location Address Fax Number:
610-253-5321
Provider Enumeration Date:
07/14/2006